Look up who Lipshultz is!
I'm sticking to what I said. Both Dr Saya (below post) as well as TONS of anecdotes across LOTS of forums say that clomid monotherapy has the greatest chance of success. In real life, FSH has failed many people and clomid gotten their partner pregnant. Sure, Lipshultz may have seen the results he did in his sample, I don't dispute that. But what is the most practical and cheap advice for most people on here? In any case, debating Hcg and FSH is largely academic at this point considering the effective non availability in your country. I believe it's best to give people easy solutions to their problems they can implement right now.
Generally you'd use a SERM such as Clomid by itself. HCG and hMG work well togther. These two options are first and second on Dr. Saya's fertility list:
A *very* generalized ranking of relative fertilities (with top being most fertile):1. Clomid/SERM treatment2(A). HCG + HMG (or lyophilized FSH)2(B). Baseline no treatment (no HPTA suppression via TRT, AAS, HCG mono, etc) - assuming no significant degree of primary/secondary/tertiary dysfunction.3(A). HCG monotherapy (does in fact result in HPTA suppression, especially at higher doses, but *may* move up to #2 in select cases of SECONDARY/TERTIARY hypogonadism)3(B). TRT + HCG (as we know many men are still able to maintain adequate fertility to conceive)4. TRT/AAS with no concurrent HCG.[R]
Enclomiphene is preferred over Clomid if you can get it. It is essentially Clomid without the estrogenic zuclomiphene isomer. You want to at least measure things like LH, FSH, SHBG, testosterone and estradiol. You can order these yourself in many states through Discounted Labs